The morphological mapping of lateral compression type 1 pelvic fracture and pelvic ring stability classification: a finite element analysis
Abstract Purpose This finite element analysis assessed lateral compression (LC-1) fracture stability using machine learning for morphological mapping and classification of pelvic ring stability. Methods Computed tomography (CT) files of LC-1 pelvic fractures were collected. After morphological mappi...
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oai:doaj.org-article:b735071770f44c788864be25d60455b92021-11-21T12:29:56ZThe morphological mapping of lateral compression type 1 pelvic fracture and pelvic ring stability classification: a finite element analysis10.1186/s13018-021-02818-31749-799Xhttps://doaj.org/article/b735071770f44c788864be25d60455b92021-11-01T00:00:00Zhttps://doi.org/10.1186/s13018-021-02818-3https://doaj.org/toc/1749-799XAbstract Purpose This finite element analysis assessed lateral compression (LC-1) fracture stability using machine learning for morphological mapping and classification of pelvic ring stability. Methods Computed tomography (CT) files of LC-1 pelvic fractures were collected. After morphological mapping and producing matrix data, we used K-means clustering in unsupervised machine learning to classify the fractures. Based on these subtypes, we manually added fracture lines in ANSYS software. Finally, we performed a finite element analysis of a normal pelvis and eight fracture subtypes based on von Mises stress and total deformation changes. Results A total of 218 consecutive cases were analyzed. According to the three main factors—zone of sacral injury and completion, pubic ramus injury side, and the sagittal rotation of the injured hemipelvis—the LC-1 injuries were classified into eight subtypes (I–VIII). No significant differences in stress or deformation were observed between unilateral and bilateral public ramus fractures. Subtypes VI and VIII showed the maximum stress while subtypes V–VIII showed the maximum deformation in the total pelvis and sacrum. The subtypes did not differ in superior public ramus deformation. Conclusions Complete fracture of sacrum zones 2/3 may be a feature of unstable LC-1 fractures. Surgeons should give surgical strategies for subtypes V–VIII.Bin-Fei ZhangJun WangYu-Min ZhangHui-Guang ChengQian-Yue ChengWen-Wen CaoBMCarticleMorphological mappingLateral compression type 1Pelvic fractureStabilityClassificationFinite element analysisOrthopedic surgeryRD701-811Diseases of the musculoskeletal systemRC925-935ENJournal of Orthopaedic Surgery and Research, Vol 16, Iss 1, Pp 1-10 (2021) |
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Morphological mapping Lateral compression type 1 Pelvic fracture Stability Classification Finite element analysis Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935 |
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Morphological mapping Lateral compression type 1 Pelvic fracture Stability Classification Finite element analysis Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935 Bin-Fei Zhang Jun Wang Yu-Min Zhang Hui-Guang Cheng Qian-Yue Cheng Wen-Wen Cao The morphological mapping of lateral compression type 1 pelvic fracture and pelvic ring stability classification: a finite element analysis |
description |
Abstract Purpose This finite element analysis assessed lateral compression (LC-1) fracture stability using machine learning for morphological mapping and classification of pelvic ring stability. Methods Computed tomography (CT) files of LC-1 pelvic fractures were collected. After morphological mapping and producing matrix data, we used K-means clustering in unsupervised machine learning to classify the fractures. Based on these subtypes, we manually added fracture lines in ANSYS software. Finally, we performed a finite element analysis of a normal pelvis and eight fracture subtypes based on von Mises stress and total deformation changes. Results A total of 218 consecutive cases were analyzed. According to the three main factors—zone of sacral injury and completion, pubic ramus injury side, and the sagittal rotation of the injured hemipelvis—the LC-1 injuries were classified into eight subtypes (I–VIII). No significant differences in stress or deformation were observed between unilateral and bilateral public ramus fractures. Subtypes VI and VIII showed the maximum stress while subtypes V–VIII showed the maximum deformation in the total pelvis and sacrum. The subtypes did not differ in superior public ramus deformation. Conclusions Complete fracture of sacrum zones 2/3 may be a feature of unstable LC-1 fractures. Surgeons should give surgical strategies for subtypes V–VIII. |
format |
article |
author |
Bin-Fei Zhang Jun Wang Yu-Min Zhang Hui-Guang Cheng Qian-Yue Cheng Wen-Wen Cao |
author_facet |
Bin-Fei Zhang Jun Wang Yu-Min Zhang Hui-Guang Cheng Qian-Yue Cheng Wen-Wen Cao |
author_sort |
Bin-Fei Zhang |
title |
The morphological mapping of lateral compression type 1 pelvic fracture and pelvic ring stability classification: a finite element analysis |
title_short |
The morphological mapping of lateral compression type 1 pelvic fracture and pelvic ring stability classification: a finite element analysis |
title_full |
The morphological mapping of lateral compression type 1 pelvic fracture and pelvic ring stability classification: a finite element analysis |
title_fullStr |
The morphological mapping of lateral compression type 1 pelvic fracture and pelvic ring stability classification: a finite element analysis |
title_full_unstemmed |
The morphological mapping of lateral compression type 1 pelvic fracture and pelvic ring stability classification: a finite element analysis |
title_sort |
morphological mapping of lateral compression type 1 pelvic fracture and pelvic ring stability classification: a finite element analysis |
publisher |
BMC |
publishDate |
2021 |
url |
https://doaj.org/article/b735071770f44c788864be25d60455b9 |
work_keys_str_mv |
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